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This study examines the theoretical and empirical relationships between LM&SS, human resource management (HRM), climate for LM&SS and outcomes (employee well-being and performance) in hospitals. As part of this research, the authors examine the interplay between “hard” and “soft” practices for LM&SS and “soft” HR practices.

A cross-sectional, multisite survey study covering all internal service units at all eight Dutch university hospitals was conducted (42 units, N = 218 supervisors, N = 1,668 employees), and multivariate multilevel regression analyses were performed.

A systems approach involving “soft” LM&SS practices that are specifically HR-related has a positive effect (β is 0.46) on a climate for LM&SS. A climate for LM&SS is not related to perceived performance or employee health. It is, however, positively related to employee happiness and trusting relationships (both βs are 0.33). We did not find that a climate for LM&SS had a mediating effect.

This study shows that a balanced approach involving both “hard” and “soft” factors is crucial to achieving the desired breadth and depth of LM&SS adoption at the macro, meso, and micro levels. The authors found that a climate for LM&SS positively affects employee well-being in hospitals.

In their attempt to create mutual gains for both their organization and their employees, hospitals that adopt LM&SS should foster a climate for LM&SS by embracing a balanced approach consisting of both “hard” and “soft” practices, thereby internalizing LM&SS at the macro, meso, and micro levels.

This is one of the first studies to examine in-depth the impact of “hard” and “soft” LM&SS on both employee well-being (subdivided into different components) and performance in healthcare, as well as the role of “soft” HRM in this relationship. Linking LM&SS, HRM and outcomes to a climate for LM&SS is relatively a new approach and has led to a deeper understanding of the mechanisms underpinning the internalization of LM&SS in healthcare.

Since 2000, China, along with the USA, UK, France, Japan and many other developed countries have drawn up new blueprints for the development of a marine economy. At present, international marine economics research has entered into a new period of development, and the research methods of ocean econometrics are becoming more complex and mature. The purpose of this paper is to review the progress of international marine econometrics research and gives the development direction of marine econometrics.

The Web of Science core collection database was utilized, harvesting data from 1996 to May 2018, measuring the marine economy research from 1,489 articles as its sample, using CiteSpace visualization analysis tools.

Mapping the knowledge map from annual international marine economic metrology, literature identification, keywords, involving disciplines and related journals, countries (regions) and research and analyzing the research status of reveals the research frontiers of international marine economy measurement (learning) by using CiteSpace.

The conceptions and characteristics of marine econometrics are defined and analyzed, and the theoretical method of marine econometrics is sorted out. Mapping the knowledge diagram of marine econometrics and discussing the research status of international marine economics, and clarifying the existing problems, future opportunities and challenges of international marine econometrics research.